Payment Reform Government



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Payment Reform

Government

Representatives

Title

Organization

Office of Mainecare Services*


Michelle Probert

Managed Care Project Manager

MaineCare

Center for Disease Control


Christine Zukas,


Deputy Director Maine CDC

Department of Health and Human Services

Bureau Of Insurance

Joanne Rawlings-Sekunda

Deputy Director of the Consumer Health

Bureau of Insurance

Governor’s Office

TBD







Legislators

TBD







Medicare/Center for Medicare Services

Fran Jensen

CMMI, SIM Project Officer




Quality Improvement Organization

Akindele Majekodunmi, MD, MBA

Chief Quality Officer

Northeast Quality Healthcare Foundation (QIO)

Office of Continuous Quality Improvement

Jay Yoe

Director of Continuous Quality Improvement

Department of Health and Human Services

Provider/Payer

Recommended Representatives

Title

Organization

Hospital System Reps (3)*



Mark Biscone

Executive Director

Waldo County General Hospital

Chrissi Harding

CFO

MDI Hospital

Jim Kane

President

Central Maine Accountable Care Organization

Primary Care Practice/Specialty Practice Reps*


Primary Care:
Edmund Claxton, MD





Central Maine Medical Center Family Medicine

Specialist: 
Jamie Kuhn, MD





Maine Orthopedics

Behavioral Health Rep*


Judiann Smith

Director, Regulatory and Legislative Analysis

Spurwink

LTC Provider*


Wanda Pelkey


CFO

First Atlantic Healthcare

Health Plan Representation (invite all plans (5))*


Andy Ellis


Regional Director, Provider Engagement and Contracting

Anthem




Bob Downs


Senior Network Leader

Aetna




Pat Denning

Network Manager

Harvard Pilgrim




Kevin Lewis


CEO

Maine Community Health Options




Mark Still


AVP, Contracting

Cigna

Community

Recommended Representatives

Title

Organization

Purchasers* (must include MHMC and non-MHMC members)



Tom Hopkins


Director, Compensation and Benefits

University of Maine System (Coalition Member)

Chris McCarthy

Manager, Integrated Health Services

Bath Iron Works (Coalition Member)


TBD







Maine Quality Counts*

Ted Rooney

AF4Q Project Director

Maine Quality Counts

Consumer/Advocacy*


Cheryl Rust

Owner

Le Garage Restaurant

Ann Woloson

Policy Specialist

Maine Equal Justice Partners

HealthInfoNet*

Shaun Alfreds

COO

HIN

*Core Members




Data Infrastructure

Government

Representatives

Title

Organization

Office of Mainecare Services*



Luke Lazure

MaineCare Financial Manager

Department of Health and Human Services

Center for Disease Control*



Nancy Birkhimer


Director, Public Health Performance Improvement

Department of Health and Human Services

Substance Abuse and Mental Health Services*



Joseph Riddick


Quality Management, Data Manager

Department of Health and Human Services

Office of the State Coordinator*


Dawn Gallagher

Social Services Program Manager

Department of Health and Human Services

Office of Continuous Quality Improvement*


Dana Duncan

Quality Improvement Manager

Department of Health and Human Services

Maine Health Data Organization



Karynlee Harrington


Executive Director




Provider/Payer

Recommended Representatives

Title

Organization

Health System Reps(2)*


Andrea Patstone


VP, Strategic Initiatives

MaineHealth

Carrie Arsenault

Director of Operations

Eastern Maine Health Services

Primary Care Practices*


John Vogt, MD


Family Medicine

Martin's Point


Behavioral Health*

Margaret Longworth

CEO

OHI

Long Term Care

Holly Harmon or Designee

TBD

Maine Health Care Association

Health System Representation


Ralph Johnson

CIO

Franklin Memorial


Barbara Crowley, MD

Executive Vice-President

MaineGeneral Health

Community

Recommended Representatives

Title

Organization

Maine Health Management Coalition*


Michael DeLorenzo

Interim CEO

MHMC

Purchasers*


Wayne Gregersen,


Director

The Jackson Laboratory

Maine Quality Counts*


Lisa Letourneau, MD

Executive Director

Maine Quality Counts

Consumer/Advocacy (from HINs consumer advisory committee)*


Ann Sullivan

HIN Consumer Advisory Committee Chair




*Core Members


Delivery System Reform

Government

Representatives

Title

Organization

Office of MaineCare Svcs*

Dr. Kevin Flanigan

Medical Director

Department of Health and Human Services

Center for Disease Control*

Dr. Christopher Pezzullo

Division of Population Health Medical Director

Department of Health and Human Services

Substance Abuse and Mental Health Services*

Guy Cousins

Director, SAMHS

Department of Health and Human Services

Office of Aging & Disability Services*

Jim Martin

Associate Director

Department of Health and Human Services

Office of Children and Family Services*

Teresa Barrows

Behavioral Health Program Administrator

Department of Health and Human Services

Legislators

TBD







Maine Quality Forum

KarynLee Harrington

Executive Director




Provider/Payer

Recommended Representatives

Title

Organization

Hospital System *

Vance Brown MD

Chief Medical Officer

MaineHealth

Richard Freeman MD

VP & Chief Transformation Officer

Eastern Maine Health Systems

Jud Knox

CEO

York Hospital

Primary Care Practice*

John Patten DO


Primary Care Physician/PCMH member

Penobscot Community Health Care

PCP MD/DO/NP - TBD








Specialty Care Physician

Regen Gallagher DO, MBA

Chief Medical Officer

Cary Medical Center

Behavioral Health *

Greg Bowers


CFO

Maine Mental Health Partners

Catherine Ryder LCPC, ACS

CEO

Tricounty Mental Health

Emelie vanEeghen

VP Behavioral Health

MaineGeneral Health

Long Term Care *

Holly Harmon


Director Quality Improvement

Maine Health Care Assoc

Health Plan *

Robert Downs

Senior VP

Aetna

Developmental Disability Provider*

David Lawlor

Executive Director

Mobius

Community-Based Provider

Gerry Queally

President & CEO

Spectrum Generations

Community

Recommended Representatives

Title

Organization

Purchasers*

MHMC member

Joanne Abate

Director, Health & Wellness Strategy

Delhaize

Purchasers*

non-MHMC member

TBD




TBD

HealthInfoNet

Katie Sendze

Program Director

HealthInfoNet

Consumer/ Advocacy*

Kim Moody

CEO

Disability Rights Center

Consumer*

Betty St Hilaire


Consumer




MeHAF

Becky Hayes Boober

Program Officer

MeHAF

*Core Members


September 9, 2013 Page



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